Provider Rehab, OT. P.C.
NPI 1205294691 · Occupational Therapist · Staten Island, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider Rehab, OT. P.C. is a Occupational Therapist organization in Staten Island, NY (NPI 1205294691).
Provider details
- NPI number
- 1205294691
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Dmitry Shevchenko, President(347) 766-9077
- License
- 63018851 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3030 Emmons Ave Apt 5tBrooklyn, NY 11235-2228Phone: (347) 766-9077
Registry dates
- Enumerated
- 2016-02-01
- Last updated
- 2020-03-05
- Certified
- 2020-03-05
Frequently asked questions
- What is Provider Rehab, OT. P.C.'s NPI number?
- Provider Rehab, OT. P.C.'s National Provider Identifier (NPI) is 1205294691, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provider Rehab, OT. P.C.?
- Provider Rehab, OT. P.C. is classified in the NPPES registry as Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Provider Rehab, OT. P.C. located?
- Provider Rehab, OT. P.C.'s practice location on file with NPPES is 288 Sand Ln Ste 1, Staten Island, NY 10305-4512.
- What is Provider Rehab, OT. P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Provider Rehab, OT. P.C. is (347) 766-9077.
- Does Provider Rehab, OT. P.C. accept Medicare?
- Provider Rehab, OT. P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Provider Rehab, OT. P.C.?
- The authorized official listed on Provider Rehab, OT. P.C.'s NPPES record is Dmitry Shevchenko, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provider Rehab, OT. P.C.'s NPI active?
- Yes — Provider Rehab, OT. P.C.'s NPI (1205294691) is active in the NPPES registry as of the last update on 2020-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.